KERI JEAN WAGNER

COMMACK, NY
NPI1053433474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F334793)
Enumeration Date2007-04-05
Last Update Date2010-05-13
Business Address
Mrs. KERI JEAN WAGNER N.P.
650 COMMACK RD
COMMACK, NY 11725-5404
Phone number: 631-623-4000
Mailing Address
Mrs. KERI JEAN WAGNER N.P.
650 COMMACK RD
COMMACK, NY 11725-5404
Phone number: 631-623-4000